摘要
目的观察系统性红斑狼疮性脑病(SLEE)在CT检查时的影像学表现。方法回顾性分析9例经临床诊断符合系统性红斑狼疮脑病患者的资料,所用病人均行CT检查,并分析其CT表现。结果主要CT表现:(1)弥漫性低密度灶(3例),部位不定,单发或多发,形态不规则,边界模糊,占位效应较轻;(2)局限性低密度灶(4例),主要位于基底节区及脑干;(3)轻度脑萎缩(2例),均呈弥漫性。结论CT可以对系统性红斑狼疮脑病的早期发现、鉴别诊断及疗效评价提供参考,但对系统性红斑狼疮脑病的诊断,需结合临床资料。
Objective To study the CT finding of systemic lupus erythematosus encephalopathy (SLEE). Methods The CT findings of 9 cases with SLEE proved by clinical data were retrospectively analyzed. Results The main CT findings of SLEE were that as follows: Diffused hypodense cerebral parenchyma (3 cases) characterized by indefinite position, single or multiple loci,irregular shape, indistinct border, and mild mass effect;Focal hypodense cerebral parenchyma (4 cases), mostly in the region of basal ganglion and brain stem;Mild brain atrophy (2 casses) which was local or diffuse. Conclusion Early diagnosis of SLEE, valuable references on differential diagnosis and evaluation of post-therapeutic effect might be provided by CT, however, definite diagnosis of SLEE should be made in combination with the clinical characteristics of the disease.
出处
《中国实用神经疾病杂志》
2009年第21期28-30,共3页
Chinese Journal of Practical Nervous Diseases
关键词
系统性红斑狼疮
脑病
CT
Systemic lupus erythematsus Encephalopathy CT